FORM 1023-EZ for MID-ATLANTIC SCHOLARSHIP HOUSE

Field Data
EIN 84-4707429
Case Number EO-2020063-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MID-ATLANTIC SCHOLARSHIP HOUSE
Organization’s Mailing Address 6500 WOODLAKE VILLAGE CIRCLE
City MIDLOTHIAN
State VA
ZIP 23112-6518
Accounting period End 12
Primary contact name AMY MULKEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY MULKEY
DIRECTOR/PRESIDENT
15430 HOUNDMASTER TERRACE
MIDLOTHIAN VA 23112

Officer/Director/Trustee Two

KAREN CALDWELL
DIRECTOR/SECRETARY
6712 WINTERS PREY TRAIL
MOSELEY VA 23120

Officer/Director/Trustee Three

KELCEY DAVIS
DIRECTOR/TREASURER
5904 GATES MILL PLACE
MIDLOTHIAN VA 23112

Officer/Director/Trustee Four

DANA TIMMER
DIRECTOR
15305 HOUNDMASTER CIRCLE
MIDLOTHIAN VA 23112

Officer/Director/Trustee Five

ALLISON MATHEWS-AILSWORTH
DIRECTOR
BOX 843017
RICHMOND VA 23284

Organization’s website WWW.MASHRVA.ORG
Organization’s email MASH2020@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMY MULKEY
Signature Title DIRECTOR/PRESIDENT
Signature Date 3/1/2020

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